Applicants are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of non-job related medical condition or disability, or any other legally protected status.

  First Name:   Last Name:   Middle Initial:

  Home Address:   City:   State:   Zip:

  Email Address:   Phone Number:

  Date of Availability:

 Educational History

 Degree & Major/Minor            School/College                       Address                Yrs Completed   Graduate?

      Select No Yes

      Select No Yes

      Select No Yes

      Select No Yes

  Semester Hours Beyond Highest Degree:

 Describe skills you have pertaining to the positions available at Airtastic: 

 Employment History

 (1) Date (From) (To)  Position  Organization 

  Address  Phone  Supervisor  Wages 

 (2) Date (From) (To)  Position  Organization 

  Address  Phone  Supervisor  Wages 

 (3) Date (From) (To)  Position  Organization 

  Address  Phone  Supervisor  Wages 

 (4) Date (From) (To)  Position  Organization 

  Address  Phone  Supervisor  Wages 

 May we contact your present employer? 
		Select
		No
		Yes
		

 Have you ever been removed or dismissed from any position? 
		Select
		No
		Yes
		 

 If "Yes", explain: 

 With respect to the following question, the applicant is not obligated to disclose sealed or expunged

 conviction or arrest records.  

 Have you ever been convicted of a felony? 
		Select
		No
		Yes
		  

 If "Yes", please list dates, nature of crime, place, court, and action taken: 

 In compliance with the immigration Reform and Control Act of 1986, Airtastic hires only United States  citizens and aliens lawfully authorized to work in the United States.  All new employees are required  to complete the designated employment verification form.

References:  List full information for references ho may be contacted to verify any information requested in this application.  Include someone from the last two positions you have held and any 
two others who know of your background, employment, or educations preparation.  List Full Name,  Title, Organization, Address, and Telephone Number.

          Full Name                  Title              Organization           Address            Telephone

 (1)     

    Reference (other than Supervisor) from last (or present) position of employment

 (2)     

    Reference (other than Supervisor) from next to last position of employment

 (3)     

 (4)     

Declaration: I hereby certify that the information I have provided is complete, true, and correct. Any misrepresentation of information and/or omission of fact may cancel this application or be cause for termination if employed. I authorize the investigate of all information contained in this application as may be necessary in arriving at an employment decision. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If employed, I agree to abide by all workplace policies, procedures, rules, and regulations of Airtastic.